Is it time for a change? A cost-effectiveness analysis comparing a multidisciplinary integrated care model for residential homes to usual care.

ABSTRACT:

Objective

The objective of this study was to evaluate the cost-effectiveness of a Multidisciplinary Integrated Care (MIC) model compared to Usual Care (UC) in Dutch residential homes.

Methods

The economic evaluation was conducted from a societal perspective alongside a 6 month, clustered, randomized controlled trial involving 10 Dutch residential homes. Outcome measures included a quality of care weighted sum score, functional health (COOP WONCA) and Quality Adjusted Life-Years (QALY). Missing cost and effect data were imputed using multiple imputation. Bootstrapping was used to analyze differences in costs and cost-effectiveness.

Results

The quality of care sum score in MIC was significantly higher than in UC. The other primary outcomes showed no significant differen

SUBMITTER: MacNeil Vroomen JL 

PROVIDER: S-EPMC3360056 | biostudies-literature | 2012

REPOSITORIES: biostudies-literature